Journal of Prosthodontics News  

Survival Rates, Patient Satisfaction, and Prosthetic Complications


Now online in the Journal of Prosthodontics, a prospective study of implant fixed complete dental prostheses co-authored by ACP members Carlo Ercoli DDS, MBA, FACP and Konstantinos Chochlidakis DDS, MS, FACP.

Prosthetic complications are fairly common during the treatment of edentulous patients with fixed implant prostheses, however the relationship between the occurrence of complications and patient satisfaction is less clear. This study evaluated patient satisfaction, as well as survival rates and prosthetic complications of implant fixed complete dental prostheses (IFCDPs) after a mean observation period of 1.4 years.

The definitive metal-acrylic resin IFCDPs used in this study consisted of titanium bars veneered with acrylic resin and acrylic denture teeth. Fourteen males and 14 females were enrolled and followed-up at 3, 6, and 12 months. All prostheses were in function after a mean observational period of 12 months, leading to a 100% prosthetic survival rate; however, only 16 out of 28 prostheses were free of complications (57.14% of all prostheses). The most frequent minor complication was the loss of material used to close the screw access hole (20%). The most frequent major complication was chipping of the acrylic denture teeth (77.14%).

Interestingly, the occurrence of complications does not appear to significantly decrease total patient satisfaction scores. This prospective study showed that the fabrication of IFCDPs leads to a significant increase in patients’ satisfaction and oral health-related quality of life measures.

Nikellis T, Lampraki E, Romeo D, et al. Survival rates, patient satisfaction, and prosthetic complications of implant fixed complete dental prostheses: a 12-month prospective study. J Prosthodont. 2022; 1– 7. https://doi.org/10.1111/jopr.13593


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